老年慢性胃炎内镜诊断与病理诊断的相关性比较  

Consistency between endoscopic and pathologic diagnosis of chronic gastritis in the elderly patients

作　　者：孙国庆[1] 孙昊[2] 徐晓军[3] 张琦[4] 

机构地区：[1]江苏职工医科大学临床护理学系,江苏南京210029 [2]南京医科大学第一附属医院急诊中心,江苏南京210029 [3]南京医科大学附属南京第一医院内镜中心,江苏南京210006 [4]南京医科大学附属南京第一医院病理科,江苏南京210006

出　　处：《南京医科大学学报（自然科学版）》2009年第11期1550-1553,共4页Journal of Nanjing Medical University(Natural Sciences)

摘　　要：目的:探讨老年性慢性胃炎(CG)内镜诊断与病理诊断之间的相关性。方法:内镜诊断为慢性胃炎的352例老年患者的内镜检查结果与病理结果之间进行相关性对照研究。结果:内镜下诊断为非萎缩性胃炎(NAG)225例,萎缩性胃炎(CAG)127例。与病理诊断比较,非萎缩性胃炎诊断符合率98.67%,萎缩性胃炎诊断符合率为66.93%。多项内镜表现同时存在对病理诊断的相关性(85.50%)显著提高。结论:非萎缩性胃炎的内镜诊断可信度较高,萎缩性胃炎的内镜诊断与病理诊断符合率较低,缺乏足够的相关性,但有一定的提示作用,且多项内镜表现同时存在时诊断正确率明显提高。目前内镜下的诊断尚不能替代黏膜组织学检查。Objective：To explore the correlation between the endoscopic diagnosis and pathologic diagnosis of CG （chronic gastritis） in older patients, nethods：A control experiment was carried out between gastroscopic diagnosis and pathologic diagnosis of 352 senior patients with CG. Results：225 cases of NAG（non-atrophic gastritis） and 127 cases of CAG （chronic atrophic gastritis） were diagnosed by endoscopic examination. Comparing to pathologic diagnosis, the accuracy of NAG was 98.67%, while the accuracy of the CAG was 66.93%. A significant improvement of correlation （85.50%） was obtained when combining several endoscopic characteristics. Conclusion： Correlation between gastroseopic diagnosis and pathologic diagnosis was relatively high for NAG, while relatively poor for CAG, but macroseopic diagnosis was indicative to pathological changes for CAG, especially when several endoscopic characteristics coexisted. Currently, the endoscopic diagnosis can＇t substitute for mucosal pathologic examination yet.

关 键 词：慢性胃炎 内镜 病理学 

分 类 号：R573.3[医药卫生—消化系统]